Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF17
MultiStage: No
DXCat Label: Lymphogranuloma Venereum Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Lymphogranuloma venereum Inguinal adenopathy
DX 0991;
AND Chlamydia trachomatis infection [complement fixation test shows ≥ 4 fold increase in antibody
titers or culture reports growth of pathologic organism(s)]
2.01 with ulcerations of inguinal lymph nodes Stage 1.01
AND ulceration of inguinal adenopathy
OR abscess formation of inguinal adenopathy
2.02 with ulcerative proctitis or sinus tract Stage 2.01
formation
AND purulent rectal discharge
OR sinus tract formation
2.03 with elephantiasis Stage 1.01-2.02
AND lymphedema of entire lower limb
2.04 with rectovaginal fistula Stage 1.01-2.03
AND stool from vagina
OR rectovaginal fistula [barium enema report]
2.05 with rectal strictures Stage 1.01-2.04
AND rectal strictures
References:
STAGE 1.01 + DX 683;
STAGE 1.01-2.01 + (DX 5562,
5651);
STAGE 1.01-2.02 + DX 4571;
STAGE 1.01-2.03 + DX 6191;
STAGE 1.01-2.04 + DX 5692;
Berkow R, Fletcher AJ, eds. In: Merck Manual. 16th ed. Rahway, NJ: Merck & Co., Inc.; 1992:268-269.
Stamm WE, Holmes KK. Chlamydial infections. In: Wilson JD, Braunwald E, Isselbacher KJ, Petersdorf RG, Martin JB, Fauci AS, Root RK, eds. Harrison’s Principles of Internal
Medicine. 12th ed. New York, NY: McGraw-Hill; 1991:764-772.
Thursday, January 07, 2010 9:22:25 AM
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